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Form Problems

Greetings Everyone.

I'm new to the boards and in need of a little guidance. I'm having trouble with a form. ( http://www.namastesalonandspa.com/survey.html ). The trouble starts in the last section of the form, in the rows of radio buttons.
The first section ( your appointment ) works fine. The next area, (your arrival ) does not. If you make a selection in one area then move to the next row, the previous choice dissappears. If someone could take a look and what I did wrong, I'd be much obliged!

thanks for responding!

Im still not following on how this would affect the problem i'm having. I realize the "name" is the same in all of the input tags, I wanted it that way because the radio buttons provide five different responses to the same question. Ill try removing the spaces in the "name" . Thank for your time!